| Evan Dayne Ivie, PA | |
|
14502 W Meeker Blvd, Sun City West, AZ 85375-5282 | |
| (623) 524-4607 | |
| (623) 524-4182 |
| Full Name | Evan Dayne Ivie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 14502 W Meeker Blvd, Sun City West, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558765891 | NPI | - | NPPES |
| 1174919534 | Medicaid | ID | |
| 473675862 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5905 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA-1265 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simpson Dermcare And Family Medicine Pllc | 1355656307 | 5 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Dayne Ivie, PA 3456 E 17th St Ste 190, Ammon, ID 83406-6749 Ph: (208) 524-2222 | Evan Dayne Ivie, PA 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 Ph: (623) 524-4607 |
Linsy Angela Townsend, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 | |
Patrick Landon Burrup, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-975-8752 | |
Bradford Gibson Tenney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14520 W Granite Valley Dr, Suite 210, Sun City West, AZ 85375 Phone: 623-537-5600 Fax: 866-939-2673 | |
Miss Tasha Grissett, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-8767 | |
Jason Muesch, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-524-4000 | |
Carlos Daniel Villalpando, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375 Phone: 866-974-2673 Fax: 866-939-2673 | |
Benito B Rodriguez, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14502 W Meeker Blvd, Sun City West, AZ 85375 Phone: 623-214-4000 Fax: 623-214-4000 |